Senior Health Claims Analyst - Stop-Loss & Risk Expert
Sun Life
Sun Life U.S. is a leading provider of employee and government benefits, offering a broad portfolio and nationwide coverage. The Health and Risk Solutions Senior Claim Analyst role concentrates on complex claims assessment, risk management, and mentoring other analysts in a hybrid work model across contiguous states plus AK. You will partner with brokers, administrators, and internal teams to apply contract language, settle claims, and refine policies. #J-18808-Ljbffr Sun Life
- ...employee and government benefits, offering a diverse portfolio across dental, vision, life, and medical coverage. The Health and Risk Solutions Senior Claim Analyst role drives evaluation, negotiation, and settlement of complex claims, building relationships with...SeniorRisk
$68.2k - $102.3k
...Health And Risk Solutions Senior Claim Analyst Sun Life embraces a hybrid work model that balances in-office collaboration... ...action plans for complex Stop Loss claims. Coordinate complex... ...departmental leader and subject matter expert, including participating in field...SeniorRiskContract workWork at officeFlexible hours$68.2k - $102.3k
...disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more... ...contiguous states plus AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role...SeniorWork at officeLocal areaFlexible hours- Sun Life is seeking an Associate Director for Stop-Loss Product Development in Wellesley, MA. The ideal candidate will have over 5 years of experience in stop-loss health insurance and lead the end-to-end development of product initiatives. The role involves partnering...Senior
$116.5k - $174.8k
...Associate Director, Stop‑Loss Product Development Sun Life... ..., actuarial, claims, finance, legal, state... ...Serve as a subject‑matter expert on stop‑loss products,... ...healthcare, or related risk‑based insurance products... ...negotiating and presenting at a senior level. Salary $116,500‑...RiskWork at office$116.5k - $174.8k
Associate Director, Stop‑Loss Product Development Sun Life... ..., actuarial, claims, finance, legal, state... ...Serve as a subject‑matter expert on stop‑loss products,... ...healthcare, or related risk ‑based insurance products... ...negotiating and presenting at a senior level. Salary $116,500...RiskWork at office$116.5k - $174.8k
..., life, supplemental health, medical stop-loss insurance, and healthcare... ...of our stop-loss and risk-based product... ...underwriting, actuarial, claims, finance, legal, state... ...as a subject matter expert on stop‑loss products... ...and presenting at a senior level. Salary $116,50...RiskWork at officeLocal areaFlexible hours$310k - $380k
...and program teams for assigned products and studies, providing expert guidance regarding safety matters and issues.Provide timely and... ...signals, in accordance with signal detection practices.Participate in Risk Management Strategy.Other activities, as needed or as requested...SeniorRiskFull time- Sun Life U.S. is seeking a Health and Risk Solutions Senior Claim Analyst to lead complex claim evaluations, negotiations and settlements, ensuring accurate and timely payments while balancing policy owners and company interests. This hybrid role supports training, mentoring...SeniorRisk
$85k - $115k
...including primary care, behavioral health, dentistry, optometry,... ...tailored to the unique needs of senior populations.About the Role:The... ...also manages the third-party risk process from end to end. This... ...endpoint protection and data loss prevention (DLP) technologies,...SeniorRiskWork at office- ...and field teams. The role requires hands-on leadership, a strong background in façades, and the ability to manage schedules, budgets, and risks in a fast-paced environment. Competitive compensation and benefits available. #J-18808-Ljbffr Barnowl Advisory Group open rolesSeniorRisk
$110k - $120k
...Superior) by A.M. Best, with an A+ claim paying ability rating by... ...URL: Responsibilities Loss Control ConsultantConducts surveys... ...experience in loss control, risk control, safety management,... ...discretionary bonus• Benefits include: Health, dental, vision, dental, life,...SeniorRiskFull time- aPriori Technologies seeks an experienced Senior Contracts Specialist to lead the full lifecycle of commercial agreements. You will act... ...knowledge. You will support global sales and work with Legal to manage risk and optimize processes. #J-18808-Ljbffr aPriori TechnologiesSeniorRisk
- ...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...Description: The Opportunity The Senior Manager, Premium Resolution... ..., financial accuracy, risk mitigation, and adherence to... ...Management, Underwriting, Billing, Claims, Sales, Technology, Finance,...SeniorRisk
$203k - $398k
...Critical Accounts program that catches at-risk accounts early and drives them to a durable resolution, and a Customer Health Platform, an AI-powered one-stop shop for customer insights,... ...several years in a people-management or senior program leadership role.A track...SeniorRiskLocal areaRemote workWorldwideFlexible hours- ...Senior Clinical Trial Manager - ChrysalisHybridStoke Therapeutics (Nasdaq: STOK), is a biotechnology... ...system and the eye that are caused by a loss of ~50% of normal protein levels (... ...all study deliverables, including proactive risk/issue identification and mitigations....SeniorRiskInterim roleWork at officeRemote work1 day per week
- ...world‑class team to match our ambition. The Senior Director, Clinical Operations will... ...requirements. Monitor study progress, timelines, risks, quality metrics, and budgets,... ...Experience supporting regulatory submissions and health authority interactions. Experience with...SeniorRiskFor contractors
$81.1k - $121.5k
...disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have... ...contiguous states plus AK.The opportunity: The Senior Engagement Consultant advances Health & Risk Solutions growth by leading strategic engagement...SeniorRiskFull timeWork at officeLocal areaFlexible hours- ...and Integrated Master Schedule (IMS), ensuring alignment with contractual scope and government requirements while guiding schedule risk and critical path decisions. Requires a Bachelor’s degree (or advanced degree) and 5+ years in program planning or scheduling, proficiency...SeniorRisk
- Workers Credit Union, headquartered in Littleton, MA, is seeking a Senior Mortgage Underwriter to assess and approve first mortgage and home equity loan applications within policy, investor, and regulatory requirements. In this hybrid role, you will mentor junior underwriters...SeniorRisk
$89.89k - $134.84k
...ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to... ...and implement a sound understanding of risk and underwriting methodologies to achieve... ...judgment and raise issues to appropriate senior Underwriting leaders for resolution....SeniorRiskFull timeWork from home- Cambridge Health Alliance is seeking a Senior Director of Risk Management and Patient Safety. This executive role reports to the Associate Chief Quality and Patient Safety Officer and leads enterprise-wide risk and safety programs to reduce preventable harm and improve...SeniorRisk
$91k - $136.5k
...management, life, supplemental health, medical stop-loss insurance, and healthcare... ...seeking a highly skilled Senior Operational Engineer to join... ..., business systems analysts, architects, and technology... ..., privacy, compliance, and risk management are critical considerations...SeniorRiskFull timeWork at officeLocal areaRemote workFlexible hours$100k - $165k
...Senior Property Underwriter The Senior Property Underwriter will... ...with the underwriting process, risk analysis, and work effectively... ...accident and supplemental health insurance, reinsurance, and life... ...underwriting excellence, superior claims handling expertise and local...SeniorRiskWork at officeLocal area$165k - $185k
...Senior Clinical Trial ManagerWhen our people share why they joined Rapport and love it here... ...GCP and SOPs.Help identify and resolve site risks and/or issues to foster positive site... ...a pretty great benefits package. We don't stop here - if you join Rapport, we go to the next...SeniorRiskFull timeWork at officeLocal areaImmediate startFlexible hoursShift work- ...Practice. HDR is a hydropower and dam safety industry leader. We are expert FERC Part 12 Dam Safety Program practitioners, and we are at the... ...mentorship of staff as needed or if required. Participate in risk assessments for dams and hydraulic structures.Some travel is...RiskContract workWork at officeFlexible hours
$154.59k - $162k
...medicines and solutions that solve serious health issues today and address the... ...Tik Tok . Job Description Senior Data Security Engineer (Insider Risk Management – Engineering), AbbVie Inc... ...& reports associated with data loss actions identified. Focus on implementation...SeniorRiskFull timeTemporary workWork experience placementRemote workWork from home3 days per week- ...two experienced Clinical Operations leaders, at the Director or Senior Director level, to drive the operational strategy and execution... ...functional leaders and CROs, you will oversee program-level planning, risk mitigation, vendor management, and budget accountability while...SeniorRiskWork at office2 days per week
$100k - $120k
...Senior Manager – Contract Manufacturing | Remote | Nutraceutical &... ...Tennessee, we are a rapidly growing health and wellness company creating... ...partners. ~Monitor at-risk and short-dated inventory to prevent... ...messages. You can reply STOP to cancel and HELP for help. You...SeniorRiskContract workLocal areaRemote work- ...Senior Vice President, Legal Services & Compliance About the Company Esteemed healthcare organization advancing the health of women & infants Industry Hospital & Health Care Type... ...compliance, governance, privacy, and risk management functions. This role requires...SeniorRiskContract work
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